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Otol."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122001396_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Chronic suppurative otitis media is a major global disease disproportionately affecting low- and middle-income countries, but few studies have explored access to care for those with ear and hearing disorders.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001396_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>In a tertiary hospital in Cambodia providing specialist ear services, a mixed method study was undertaken. This study had three arms: (1) quantitative analysis of patients undergoing ear surgery, (2) a questionnaire survey and (3) semi-structured in-depth interviews.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001396_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Patients presented with advanced middle-ear disease and associated hearing loss at rates that are amongst the highest per capita levels globally. Patients reported several structural, financial and socio-cultural barriers to treatment. This study showed a significant burden of ear disease in Cambodia, which reflects a delay in receiving timely and effective treatment.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001396_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>This study highlights the opportunity to integrate effective ear and hearing care into primary care service provision, strengthening the package of activities delivered at government facilities.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122001396","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T07:04:55Z","timestamp":1655190295000},"page":"373-389","source":"Crossref","is-referenced-by-count":4,"title":["Disparities in access to ear and hearing care in Cambodia: a mixed methods study on patient experiences"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9059-812X","authenticated-orcid":false,"given":"C J","family":"Waterworth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C T M","family":"Watters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Sokdavy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P L","family":"Annear","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Dowell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C E","family":"Grimes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M F","family":"Bhutta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,6,14]]},"reference":[{"key":"S0022215122001396_ref35","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-021-01416-3"},{"key":"S0022215122001396_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2021.1883197"},{"key":"S0022215122001396_ref52","doi-asserted-by":"publisher","DOI":"10.1186\/s12901-017-0040-1"},{"key":"S0022215122001396_ref16","unstructured":"16 Hearing calls for help. 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